Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,766.00 / $13,004.00	Facility		$945.00	$3,766.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.26 / $855.60 / $1,184.55	Professional		$769.26	$855.60	$1,184.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.80 / $928.81 / $1,294.04	Professional		$733.80	$928.81	$1,294.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $705.41 / $705.41 / $705.41	Facility		$705.41	$705.41	$705.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.27 / $1,066.74 / $1,668.47	Professional		$815.27	$1,066.74	$1,668.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,421.03	Facility		$55.00	$55.00	$6,421.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,059.00 / $6,059.00 / $6,692.25	Professional		$6,059.00	$6,059.00	$6,692.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $800.05 / $1,050.29 / $1,718.30	Facility		$800.05	$1,050.29	$1,718.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.52 / $1,195.19 / $1,406.11	Professional		$1,015.52	$1,195.19	$1,406.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,216.09 / $1,216.09 / $1,216.09	Professional		$1,216.09	$1,216.09	$1,216.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $800.05 / $1,053.07 / $2,045.71	Facility		$800.05	$1,053.07	$2,045.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $824.75 / $1,078.14 / $1,752.04	Professional		$824.75	$1,078.14	$1,752.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $658.56 / $891.57 / $1,399.44	Professional		$658.56	$891.57	$1,399.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $666.71 / $761.95 / $1,054.98	Professional		$666.71	$761.95	$1,054.98